| NPI | 1932220415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L FULLMER Executive Director 1765-472-1979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 343900000X) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |